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General NPI Number Information
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NPI Number | 1043267107
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Entity Type | Organization
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Legal Business Name | VOLUNTEER BEHAVIORAL HEALTH CARE SYSTEM
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 1504 WILLIAMS DR
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City | MURFREESBORO
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State | TN
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Zip | 37129-3274
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Country | US
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Telephone | 615-278-2241
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Fax | 615-904-9182
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Provider Business Mailing Address
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Address Line | 118 N CHURCH ST
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City | MURFREESBORO
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State | TN
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Zip | 37130-3636
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Country | US
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Telephone | 615-278-2241
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Fax | 615-904-9182
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | PHYLLIS PERSINGER
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Credential |
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Telephone | 615-278-2241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | L2140551097
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License Number State | TN
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